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Pennsylvania Common Motor Carrier License

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					Instructions for Preparing and Filing the Application for Motor
Common Carrier of Persons upon Call or Demand (Taxi Service).
You must be at least 18 years of age to file an application.

GENERAL INFORMATION

    1. This application is required to request a Certificate of Public Convenience to
       operate as a commercial carrier of people, when providing local transportation on
       either an exclusive or a nonexclusive basis, where the service is characterized by
       the fact that passengers normally hire the vehicle and its driver either by telephone
       call or by hail, or both. TAXI SERVICE IN PHILADELPHIA IS UNDER THE
       JURISDICTION OF THE PHILADELPHIA PARKING AUTHORITY. Contact PPA
       at 215-683-9434 or visit their website at www.philapark.org

    2. The application consists of: General Information on pages 1 – 2; Detailed
       Instructions on pages 3 – 5; Application on pages 6 – 10; Verified Statement of
       Applicant on pages 11 – 16. Verified Statement of Support on pages 17 – 18.
        NOTE: IT IS NOT NECESSARY TO FILE THE VERIFIED STATEMENT OF APPLICANT
        AND VERIFIED STATEMENTS OF SUPPORT WITH THE APPLICATION. THEY WILL
        BE REQUESTED FOLLOWING ADVERTISEMENT OF THE APPLICATION IN THE
        PENNSYLVANIA BULLETIN.

    3. The signed original of the application must be filed with the Secretary, Pennsylvania
       Public Utility Commission, PO Box 3265, Harrisburg, PA 17105-3265.

    4. A non-refundable filing fee of $350.00 is required at the time of filing. The filing fee
       must be paid by certified check, money order made payable to the
       Commonwealth of Pennsylvania, or a check drawn on your attorney’s
       account. Please attach the filing fee to the application.

    5. It is not required that an applicant be represented by an attorney to file an
       application. However, an attorney must represent corporate entities at hearings.

    6. Corporate entities (i.e., Corporations, LLCs, LPs, and LLPs) and fictitious trade
       names must be registered with the Pennsylvania Department of State. Companies
       incorporated in other states must register with Pennsylvania as a foreign business
       corporation. Call the Pennsylvania Department of State at 717-787-1057 for the
       necessary forms and additional information or go to the website at
       www.dos.state.pa.us/corps

    7. When your application is approved, you will be notified that before you begin to
       provide service in Pennsylvania you must submit evidence of insurance to the
       Public Utility Commission. Your permanent evidence of insurance will be a
       Form E for bodily injury and property damage insurance. This form is mailed to


Revised 9/11                                   1
        the Commission directly from the home office of your insurance carrier and must
        have the exact name and address, which you have provided at lines 1, 2, 3 or 4 of
        the application. If your insurance company subscribes to NOR (National Online
        Registries, Inc. at www.mcinfo.org), you can request the insurance company to file
        the required insurance forms electronically through NOR. The electronically filed
        insurance forms will reach the Commission more quickly than mailed forms. The
        Minimum Limits of Insurance are as follows:

        Minimum limit dependent upon manufactured
        rated seating capacity of the vehicle. Carriers
        operating any vehicle must meet the requirements of the
        Motor Vehicle Financial Responsibility Law


        15 passengers or less:                      (a)   $35,000 to cover liability for bodily
                                                          injury, death or property damage
                                                          incurred in an accident (BIPD).

                                                    (b)   $25,000 first party medical benefits,
                                                          $10,000 first party wage loss
                                                          benefits.

                                                    (c)   First party coverage of the driver of
                                                          certificated vehicles.

        16 to 28 passengers:                              $1,000,000 to cover liability for
                                                          bodily injury, death or property
                                                          damage incurred in an accident.

        29 passengers or more:                            $5,000,000 to cover liability for
                                                          bodily injury, death or property
                                                          damage incurred in an accident.

8.      It is the responsibility of the applicant or certificate holder to keep the Commission
        notified of changes to current address. Change of address forms can be obtained
        from the Commission’s website at www.puc.state.pa.us under Online Forms.

NOTE: INCOMPLETE APPLICATIONS ARE NOT ACCEPTABLE FOR FILING AND
WILL BE DELAYED FOR PROCESSING UNTIL THE REQUIRED INFORMATION IS
SENT TO THE SECRETARY OF THE COMMISSION. IF YOU REQUIRE ASSISTANCE
OR HAVE QUESTIONS CALL 717-772-7777.

WARNING – APPLICATIONS ARE PUBLIC RECORDS AND CAN BE ACCESSED ON
THE INTERNET. DO NOT PLACE SOCIAL SECURITY NUMBERS, CREDIT CARD
NUMBERS, BANK ACCOUNT NUMBERS, OR OTHER CONFIDENTIAL INFORMATION
ON THE APPLICATIONS OR VERIFIED STATEMENT FORMS.



Revised 9/11                                    2
DETAILED INSTRUCTIONS FOR THE APPLICATION
1. LEGAL NAME OF APPLICANT – The name which should be placed here depends on
   the type of entity which is filing.
   A. If you are an individual who has not formed any type of corporate entity, you should
      enter your name as it will appear on your insurance documents.
   B. If you are filing for a partnership, but not a limited liability partnership, the names
      of all partners must be entered on this line. Those names should be entered as they
      will appear on your insurance documents. This includes husbands and wives
      filing jointly.
   C. If you are filing for a corporate entity (corporation, limited liability company, or limited
     liability partnership), even if you are the sole shareholder member, you must enter
     the name exactly as it appears on the registration papers from the Corporation
     Bureau of the Pennsylvania Department of State.
2. TRADE NAME – This is any name which you will be operating under which differs from
   the LEGAL NAME OF APPLICANT. A TRADE NAME is considered fictitious if the
   identity of the applicant cannot be readily determined. Your insurance filing will
   have to include your Trade Name.
    EXAMPLE: John Doe is the applicant and wants to use the name “Johnboy Trucking”
    as his trade name. People cannot readily determine that John Doe is the actual
    operator; therefore, the name is fictitious and must be registered as such. Trade
    names such as “John Doe Trucking” or “J. Doe Trucking” are not considered fictitious
    and would not have to be registered.
3. PHYSICAL ADDRESS – The address which should be entered here is that of the
   actual location of the business. This is the address the Commission needs in order to
   dispatch Enforcement Officers to inspect equipment. Post office box numbers may
   not be used here.
4. MAILING ADDRESS – This is the address to which the Commission will send all
   correspondence. If these lines are left blank, it will be assumed that the MAILING
   ADDRESS is the same as the PHYSICAL ADDRESS.
5. ATTORNEY – Complete this only if an attorney is filing this on your behalf.
6. DOES APPLICANT CURRENTLY HOLD OR HAS EVER HELD PUC AUTHORITY? –
   If the answer is yes, please enter the PUC A No.
7. DOES APPLICANT CURRENTLY HOLD INTERSTATE OPERATING AUTHORITY? –
   If the answer is yes, please enter your federal authority number at which you currently
   hold authority.
8. CHECK ONE THAT APPLIES TO THIS APPLICATION – It is important to remember
   the following:



Revised 9/11                                     3
    A. INDIVIDUAL should only be checked if you are filing and have not formed a
    corporate entity.
    B. If you are an individual who is the sole shareholder of a corporation or the sole
       member of a limited liability company, you should check the proper box – do not
       check INDIVIDUAL.
    C. Two or more individuals (i.e., husband and wife) filing jointly should check
       PARTNERSHIP.

9. IF APPLICANT IS A CORPORATION (PROFIT OR NONPROFIT), LIMITED
   PARTNERSHIP, LIMITED LIABILITY PARTNERSHIP, OR LIMITED LIABILITY
   COMPANY THE ENTITY IDENTIFICATION NUMBER ISSUED BY THE
   CORPORATION BUREAU OF THE PENNSYLVANIA DEPARTMENT OF STATE
   MUST BE ENTERED ON THE LINE NEXT TO THE ENTITY TYPE.
10. ATTACHMENT CHECKLIST – Please review carefully to ensure that all necessary
   documents are included with the application.
       Individual:         [ ]   Certified Check, money order, or check from attorney

       Partnership:        [ ]   Certified Check, money order, or check from attorney
                           [ ]   List of names and addresses of ALL Partners
       Limited             [ ]   Corporation Bureau Entity Number as entered above in #9
       Partnership:
                           [ ]   Certified Check, money order, or check from attorney
                           [ ]   List of names and addresses of ALL Partners

       Limited Liability   [ ]   Corporation Bureau Entity Number as entered above in #9
       Partnership:
                           [ ]   Certified Check, money order, or check from attorney
                           [ ]   List of names and addresses of ALL Partners

       Limited Liability   [ ]   Corporation Bureau Entity Number as entered above in #9
       Company:
                           [ ]   Certified Check, money order, or check from attorney
                           [ ]   List of names and addresses of ALL Members and Title of each
                                 Member (even if only one member)

       Corporation – For   [ ]   Corporation Bureau Entity Number as entered above in #9
       Profit:
                           [ ]   Certified Check, money order, or check from attorney
                           [ ]   List of ALL Corporate Officers and Titles, name of each Shareholder
                                 and distribution of shares

       Corporation –       [ ]   Corporation Bureau Entity Number as entered above in #9
       Non-Profit:
                           [ ]   Certified Check, money order, or check from attorney
                           [ ]   List of ALL Corporate Officers and Titles serving on Board of
                                 Directors



Revised 9/11                                      4
11. DESCRIBE THE SERVICE PROPOSED FOR THIS APPLICATION – Please enter a
    detailed description of the area in which service will be provided using county and
    municipal information. Examples are as follows:

                  To transport people upon call or demand in the city of Reading,
                   Berks County.

                  To transport people upon call or demand in Spring Township,
                   Centre County.


12. Certification and Verification - The verification of the application must be completed
   by the applicant appearing on Line 1 of the application by the named individual, all
   partners if a partnership, a member (if a limited liability company), or by any officer (if a
   corporation).

Please complete all pertinent parts of the application.
If you need help, you may call 717-787-1227.




Revised 9/11                                      5
Pennsylvania Public Utility Commission
PO Box 3265
Harrisburg, PA 17105-3265
Questions? Please call (717) 787-1227

               Application for Motor Common Carrier of Persons
                      upon Call or Demand (Taxi Service)
        THIS APPLICATION IS TO BE USED FOR COMMON CARRIER
        PASSENGER       SERVICE      WHEN     PROVIDING   LOCAL
        TRANSPORTATION      ON   EITHER   AN   EXCLUSIVE OR   A
        NONEXCLUSIVE BASIS, WHERE THE SERVICE IS CHARACTERIZED
        BY THE FACT THAT PASSENGERS NORMALLY HIRE THE VEHICLE
        AND ITS DRIVER EITHER BY TELEPHONE CALL OR BY HAIL, OR
        BOTH. THIS APPLICATION CANNOT BE USED TO APPLY FOR TAXI
        SERVICE IN THE CITY AND COUNTY OF PHILADELPHIA.


1.      Legal Name of Applicant (Individual, Partnership or Corporation)


2.      Trade Name (If using a fictitious trade name, it must be registered with the Dept. of State)


        Fictitious name and Registration number (if applicable)

        ________________________________________________________________
3.      Physical Address (do not use PO Box)

        Street Address


        City, State and Zip Code


        Telephone Number                                        County

4.      Mailing Address (if different from Physical Address)

        Street Address


        City, State and Zip Code




Revised 9/11                                         6
5.      Attorney (if applicable)

        Attorney’s Name & Telephone Number for this Filing


        Attorney’s Address

6.      Does applicant currently hold or has ever held PA PUC authority?

               No                    Yes, at PUC No. A- ________________

7.      Does applicant hold interstate operating authority?

               No                    Yes, at No. ________________

8.      Are you one of the following? If yes, check below.

        []     Individual

        []     Partnership

9.      Are you a business entity registered with the PA Department of State?
         If YES, please check below the type of business that applies to this Application
         and provide the Entity ID Number given to you by the PA Department of State:

         [ ]   Limited Partnership
                                                         Corporation Bureau Entity ID Number

         [ ]   Limited Liability Partnership
                                                         Corporation Bureau Entity ID Number

         [ ]   Limited Liability Company
                                                         Corporation Bureau Entity ID Number

         [ ]   Corporation – For Profit
                                                         Corporation Bureau Entity ID Number

         [ ]   Corporation – Nonprofit
                                                         Corporation Bureau Entity ID Number

         If NO, contact the PA Department of State and apply according to how you will do
         business in PA

         PA Corporations (Profit or Non-Profit)         File for Articles of Incorporation

         Foreign Corporations                           File for a Certificate of Authority



Revised 9/11                                       7
         PA Limited Partnerships
         Limited Liability Partnerships
         Limited Liability Companies                 File for an Application of Registration

         Fictitious Name Registration                File only if Trade name will be different
                                                     than your business name registered with
                                                     the Department of State

10.     Attachment Checklist

       Individual:         [ ] Certified Check, money order, or check from attorney


       Partnership:        [ ] Certified Check, money order, or check from attorney
                           [ ] List of names and addresses of ALL Partners


       Limited             [ ] Corporation Bureau Entity Number as entered above in #9
       Partnership:
                           [ ] Certified Check, money order, or check from attorney
                           [ ] List of names and addresses of ALL Partners


       Limited Liability   [ ] Corporation Bureau Entity Number as entered above in #9
       Partnership:
                           [ ] Certified Check, money order, or check from attorney
                           [ ] List of names and addresses of ALL Partners


       Limited Liability   [ ] Corporation Bureau Entity Number as entered above in #9
       Company:
                           [ ] Certified Check, money order, or check from attorney
                           [ ] List of names and addresses of ALL Members and Title of each
                               Member (even if only one member)


       Corporation –       [ ] Corporation Bureau Entity Number as entered above in #9
       For Profit:
                           [ ] Certified Check, money order, or check from attorney
                           [ ] List of ALL Corporate Officers and Titles, name of each
                               Shareholder and distribution of shares


       Corporation –       [ ] Corporation Bureau Entity Number as entered above in #9
       Non-Profit:
                           [ ] Certified Check, money order, or check from attorney
                           [ ] List ALL Corporate Officers and Titles of those serving on Board
                               of Directors



Revised 9/11                                    8
11.     Describe the service area proposed by this application.

        (Use the space below or attach additional sheet if space provided is not sufficient).
_______________________________________________________________________




_______________________________________________________________________


12.     Certification:

        Applicant certifies that it is not now engaged in unauthorized intrastate
        transportation for compensation between points in Pennsylvania and will not
        engage in said transportation unless and until authorization is received from the
        Pennsylvania Public Utility Commission.


        Applicant further certifies that it understands the requirements of the Pennsylvania
        Public Utility Commission, especially as they relate to safety and insurance and that
        it may be subject to civil penalties, suspension or cancellation of the Certificate for
        failure to comply with Commission requirements.


        Applicant further certifies that it understands that it is subject to an annual
        assessment based upon its reported gross Pennsylvania intrastate revenues; said
        assessment to help defray expenses incurred in regulating Motor Common Carriers
        of Passengers; and acknowledges that failure to report revenue and pay its annual
        assessment may result in civil penalties, suspension or cancellation of the
        certificate.




Revised 9/11                                      9
Verification of Application

I/We hereby state that the statements made in this application are true and correct to the
best of my/our knowledge and belief.

The undersigned understands that false statements herein are made subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.



_______________________________________________________________________
(Print Name)


_______________________________________________________________________
(Signature)                                                                  (Date)


The verification of the application must be completed by the applicant appearing on Line 1
of the application by the named individual, all partners if a partnership, a member (if a
limited liability company), or by any officer (if a corporation).




Revised 9/11                                  10
                               VERIFIED STATEMENT OF APPLICANT
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THE
APPLICANT’S FITNESS TO OPERATE. STATEMENTS SHOULD BE TYPED OR PRINTED. ILLEGIBLE
STATEMENTS WILL DELAY YOUR APPLICATION.


______________________________________________________________________________
                                                        PUC Application Docket Number

                                                          Legal Name of Applicant



                                                            Trade Name, if any



         Street Address (principal place of business)                      City or Municipality   State       Zip Code



    The Verified Statement of the Applicant is more or less a business plan, or your proposal for providing the
    transportation service for which you are making application. Prior to deciding to make application for operating
    authority from the Public Utility Commission, you likely gave much consideration to the manner in which you
    would operate the business in order that you could provide satisfactory service to your customers and so that you
    could make a reasonable profit. As part of the application process, you must provide the Commission with your
    proposal to provide the transportation service.

    At minimum, the Verified Statement of the Applicant should include a discussion of the numbered items listed
    below and on the following pages. You are encouraged to provide as much information as possible about the
    particular subject as is necessary to fully explain your plan. If you fail to provide sufficient information about the
    subjects listed below, it may cause the review of your application to be delayed until you provide the necessary
    information. If you need more space to provide your explanation, please attach additional pages that list the
    appropriate item by number.


    1.    Identify the person making the Verified Statement on behalf of the applicant. If the applicant is a sole
          proprietor making the statement, this will be the same information as provided above. If an employee/officer
          of applicant is making the statement, give name, title, business address and telephone number, and indicate
          that the applicant’s directors/owners/partners/etc. have authorized the witness to speak for the business.




    2.    List the applicant’s affiliation (owner, manager, controls) with any other carrier, with the description of
          affiliation.



    3.    Describe your business experience, particularly any experience relating to the operation of a transportation
          service. You may also include an explanation of education or training that you believe may be relevant.



Revised 9/11                                                          11
    4.   Describe your facilities, record maintenance plan and your communication network. Please include a
         description of your physical location, to include the office area, office machines that will be utilized, and the
         facility to house vehicles. Please include an explanation of your plan to maintain records required by the PUC,
         as well as normal business records. In regard to your communication network, please explain how you will
         receive customer requests for transportation, how you will dispatch the vehicles to fulfill the request, and how
         you will maintain continuous communication with your drivers. Finally, please state your intended business
         hours.




    5.   Please state the number of employees you intend to use, along with a description of their duties. Please
         explain why that number of employees is appropriate to provide reasonable and efficient service to the
         geographical territory you will be serving. (Do not address drivers in your explanation about this item;
         drivers are addressed separately in item # 6).




    6.   Please state the number of drivers you intend to use or hire in your business and explain why that number of
         drivers is appropriate for the size of the geographical territory you will be serving. In addition, please explain:
             a. Your hiring standards for drivers;
             b. Your driver training program;
             c. Your system for ensuring that your drivers are properly licensed at all times;
             d. Your system to ensure that all drivers will be subject to a criminal background check every two years;
             e. Your plan to obtain and review criminal history records and driver history reports for drivers.




Revised 9/11                                                12
    7.   Please state the number of vehicles you plan to use in your business and why that number is appropriate to
         provide reasonable and efficient service to the geographical territory you will be serving. If you have already
         obtained vehicles for your business, please list them in the chart below. Taxicabs and limousines may not be
         used if the vehicle’s age is greater than eight model years.




         YEAR         MAKE             MODEL                  SEATING                    VEHICLE ID #
                                                             CAPACITY




    8.   Describe your vehicle safety program. Please include the following in your explanation:
             a. Your periodic vehicle maintenance plan;
             b. Your system for ensuring your vehicles will continuously comply with Pennsylvania’s equipment
                 standards (67 Pa. Code, Chapter 175) that are applicable to the type of vehicles used in your business;
             c. Your system for ensuring your vehicles will maintain compliance with the PUC’s requirements for
                 passenger service at 52 Pa. Code, Section 29.403;
             d. Your system for replacing vehicles once they are greater than eight model years in age in compliance
                 with 52 Pa. Code, Section 29.314(d);
             e. Your system for ensuring the filing of an annual vehicle list;




    9.   Please explain what steps you have taken to determine if you can obtain and pay the premiums to maintain
         insurance coverage for the proposed number of vehicles for your business.




    10. Please describe your customer service standards. Within your description, please explain:
            a. Your plan to inform customers of the procedures for filing complaints with the PUC;
            b. Your intended customer complaint resolution procedure.



    11. Criminal Record. Have you, any members (if LLC, LP or LLP), shareholders, or officers (corporations) been
        convicted of a misdemeanor or felony for which you remain subject to supervision by a court or correctional
        institution?


                  _____ YES         _____ NO



Revised 9/11                                               13
    12. Financial Data. In addition to demonstrating your technical fitness, you must also demonstrate that you
        possess the financial fitness to provide the proposed transportation service. Therefore you must complete both
        parts of the “Statement of Financial Position”, which follows this page. The first part is the Balance Sheet.
        You need only provide the applicable information. The second part of the Statement of Financial Position is
        the Projected Income Statement. The projection is your estimation of expected revenues and specific expenses
        for one year. You should use the projected information, along with the financial data reported on your balance
        sheet to help you determine if the proposed business can be feasible. Please feel free to also provide
        clarification information with your “Statement of Financial Position”, which explains why you believe you
        have sufficient funds to ensure your transportation business can provide reliable service to the public in a safe
        manner.


                                         Verification of Statement

          The undersigned deposes and says that he/she is authorized to and does make this verification and that the
facts set forth therein are true and correct to the best of his/her knowledge, information, and belief. The undersigned
understands that false statements herein are made subject to penalties of 18 Pa. C. S. Section 4904 relating to unsworn
falsification to authorities.


(Signature)                                                                               (Date)

(Name and Title, printed or typed)




Revised 9/11                                               14
                                 Statement of Financial Position (Balance Sheet)
                                       As of (date) ___________________
                                                       ASSETS
Current Assets
         Cash
         Accounts Receivable
         Notes Receivable
         Other Current Assets (specify)
                          Total Current Assets
Tangible Assets
         Motor Vehicle Equipment
         Less: Accumulated Depreciation
         -                                                                         =
         Building and Structures
         Less: Accumulated Depreciation                         -
                                                                                   =
         Office Equipment
         Less: Accumulated Depreciation                         -
                                                                                   =
          Land
Investments and Funds (specify)
Intangible Assets
Other Assets (advances and idle equipment – specify)
                                                       TOTAL ASSETS

                                                   LIABILITIES
Current Liabilities (Due within one year of date)
          Accounts Payable
          Notes Payable
          Equipment Obligations
          Other Liabilities (Attach schedule)
                             Total Current Liabilities
Long Term Liabilities (Due after one year of date)
          Accounts Payable
          Notes Payable
          Equipment Obligations
          Other Liabilities (Attach Schedule)
                             Total Long Term Liabilities
                                                   TOTAL LIABILITIES

NET WORTH (Partnerships and individuals, only)

OWNER’S EQUITY (Corporations only)
       Capital Stock
       Additional Paid-in Capital
       Retained Earnings
       Less: Treasury Stock                                     -                  =
                         Total Owner’s Equity

                          TOTAL LIABILITIES & OWNER’S EQUITY




Revised 9/11                                             15
                          STATEMENT OF FINANCIAL POSITION
                            One Year Projected Income Statement



REVENUE and GAINS
     Operating Revenue                                    _______________
     Net Revenue from non-carrier operations              _______________
     Dividend and interest revenues                       _______________
     Other non-operating revenue                          _______________
     Gains                                                _______________
        Total Revenue and Gains                           _______________
EXPENSES
     Equipment Maintenance and Garage Expense             _______________
     Insurance Expense                                    _______________
     Employee Salaries                                    _______________
     Supervisory Salaries                                 _______________
     Officer Salaries                                     _______________
     Fuel Expense                                         _______________
     Purchased Transportation (Lease Expense)             _______________
     Materials and Supplies Expense                       _______________
     General Office Expense                               _______________
     Advertising Expense                                  _______________
     Telephone Expense                                    _______________
     Accounting Expense                                   _______________
     Legal Expense                                        _______________
     Uncollectible Revenue                                _______________
     Depreciation Expense                                 _______________
     Amortization                                         _______________
     Operating Taxes and Licenses                         _______________
     Rent Expense                                         _______________
     Loss                                                 _______________
         Total Operating Expenses and Losses              _______________
Net Income Before Taxes                                   _______________
     Provision for Income Taxes                           _______________
    Net Income (Loss)                                     _______________




Revised 9/11                              16
                    INSTRUCTIONS FOR OBTAINING
        VERIFIED STATEMENTS IN SUPPORT OF THE APPLICATION


The attached form is for documenting witness statements demonstrating the need for
the proposed service. This form may be duplicated as needed for use by supporting
witnesses.

In accordance with 52 Pa. Code §41.14(a) “An applicant seeking motor common
carrier authority has a burden of demonstrating that approval of the application will
serve a useful public purpose, responsive to a public demand or need.”

Verified witness statements provide a means for demonstrating such a public demand
or need.

Please be aware that the verified statements will be reviewed based upon the
Commission’s decision Application of Blue Bird Coach Lines, Inc. (A-00088807, F.2,
Am-K) 72 Pa. PUC 262 (1990) which indicates:

        (1) the supporting witnesses must give evidence which is probative and
            relevant to the application proceeding

        (2) the supporting witnesses must identify Pennsylvania origin and destination
            points between which they require transportation and those points must
            correspond with the scope of the operating territory specified in the
            application, including request for vice versa authority

        (3) the number of witnesses which will represent a cross section of the public
            on the issue of need will vary with the breadth of the intended territory
            and commodity description

Also see 52 Pa. Code §3.381(c)(1)(3)(A)

The following form may be used to obtain witness statements in support of your
application. Failure to demonstrate a public need will result in dismissal of your
application. Failure to obtain evidence from a cross section of the public may result
in the Commission granting limited authority consistent with the need demonstrated
by the applicant.



Revised 9/11                               17
         VERIFIED STATEMENT IN SUPPORT OF THE APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED BY THE COMMISSION TO DETERMINE THAT THERE IS
A NEED FOR THE APPLICANT’S SERVICES. STATEMENT SHOULD BE TYPED OR PRINTED.


                                                 Name of Supporter



                   Street Address                               City or Municipality          State       Zip Code


                                                  Name of Applicant

       Describe the type of transportation service needed.



       What will be the usual origin and destination? Please give specific locations, such as names of cities,
        boroughs, or townships.



       How frequently is this service needed? Example: Is it on a daily, weekly, or monthly basis?



       Have you tried to use other providers of service in this area, and if so, why do you prefer not to use them?



       Have you supported similar applications in the past? If so, please supply name and docket number.




                           VERIFICATION OF STATEMENT
                    The undersigned deposes and says that he/she is the person who signed the Statement for the above-
captioned applicant/application and that he/she is authorized to and does make this verification and that the facts set
forth therein are true and correct to the best of his/her knowledge, information, and belief.

                 The undersigned understands that false statements herein are made subject to the penalties of 18 Pa.
C. S. Section 4904 relating to unsworn falsification to authorities.



(Signature)                                                                               (Date)

(Name, printed or typed)




Revised 9/11                                               18

				
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